DR. SUDHA MANJARI PRASAD (NPI# 1154656445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154656445 |
| Entity Type | Individual |
| Full Name | DR. SUDHA MANJARI PRASAD |
| Practice Address |
901 Stewart Ave Suite 206 Garden City NY 11530-4893 |
| Practice Telephone | 5167424636 |
| Practice Fax Number | 5167424647 |
| Mailing Telephone | 5167424636 |
| Mailing Fax Number | 5167424647 |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2009-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 186732 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013083781 | Sudha R Prasad | Family Medicine | 3836 Park Ave, Memphis, TN 38111-6633 | 2006-11-27 |
| 1417120189 | Sudha G Prasad | Allergy & Immunology | 901 S Koke Mill Rd, Springfield, IL 62711-8012 | 2008-04-02 |
| Street Address |
901 STEWART AVE SUITE 206 |
| City | GARDEN CITY |
| State | NY |
| Zip Code | 11530-4893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518965441 | Theodore J Daly | Legal Medicine | 901 Stewart Ave, Suite 201, Garden City, NY 11530-4803 | 2005-07-13 |
| 1306398706 | Donna Lee Hickey | Dental Hygienist | 901 Stewart Ave, Garden City, NY 11530-4893 | 2016-11-01 |
| 1568827269 | Valerie Schecher | Chiropractor | 901 Stewart Ave, Suite 285, Garden City, NY 11530-4893 | 2015-12-22 |
| 1104201300 | Antonio Jose Casanova | Dentist | 901 Stewart Ave, Suite 200, Garden City, NY 11530-4893 | 2015-07-29 |
| 1609267780 | Antonio Casanova Dds & Bruce Goldman Dmd Pllc | Clinic/Center | 901 Stewart Ave, Suite 200, Garden City, NY 11530-4893 | 2015-02-11 |
| 1306264833 | Tan Duy Nguyen | Physician Assistant | 901 Stewart Ave, Suite 201, Garden City, NY 11530-4893 | 2014-04-01 |
| 1518382415 | John Anthony Cerrato | Dentist | 901 Stewart Ave, Suite225, Garden City, NY 11530-4893 | 2014-02-28 |
| 1710314349 | Gentle Dentistry of Lancaster, Pllc | Dentist | 901 Stewart Ave, Suite 206, Garden City, NY 11530-4893 | 2013-09-27 |
| 1356606743 | Sri Gastroenterology PC | Internal Medicine | 901 Stewart Ave, Garden City, NY 11530-4893 | 2012-07-11 |
| 1144581505 | Devi Medical PC | Internal Medicine | 901 Stewart Ave, Suite 262, Garden City, NY 11530-4893 | 2012-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144850207 | Ellen Jay Palacio Mabatid | Physical Therapist | 66 New Hyde Park, Garden City, NY 11530 | 2020-01-16 |
| 1255991022 | Rubin Anesthesia Pain Management, Pllc | Anesthesiology | 1103 Stewart Avenue, Suite 300, Garden City, NY 11530 | 2019-06-14 |
| 1144793720 | Jack Doby Garden City, LLC | Eyewear Supplier (Equipment, not the service) | Jack Doby Garden City, LLC, 928 Old Country Road, Garden City, NY 11530 | 2019-01-07 |
| 1386135051 | Granger & Sahasra | Dentist | 1103 Stewart Avenue Suite 104, Garden City, NY 11530 | 2018-05-29 |
| 1598262537 | Suzanne P. Reid-bradshaw | Specialist | Kidz Therapy, 300 Garden City Plaza, Garden City, NY 11530 | 2018-04-06 |
| 1972021129 | Nicole Maria Gaudino | Nurse Practitioner | One South Avenue, Waldo Hall, Garden City, NY 11530 | 2017-09-07 |
| 1619495645 | Christine Scheppa | Registered Nurse | 225 Brompton Rd South, Garden City South, NY 11530 | 2017-08-30 |
| 1699290981 | Deborah Ann Pontosky | Registered Nurse | 104 Fifth Street, Garden City, NY 11530 | 2017-08-08 |
| 1932648748 | Tahmina Jahir | Student in an Organized Health Care Education/Training Program | 15 Hilton Ave, Garden City, NY 11530 | 2017-02-14 |
| 1598209173 | Dino Michelli | Specialist | 300 Garden City Plaza, Ste 350, Kidz Therapy/ Gayle E. Kligman Therapeutic Resources, Garden City, NY 11530 | 2016-12-15 |
| Find all providers in zip 11530 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730268350 | Kathy Michele Messina | Pediatrics | Bldg 19 West Road, Garden City, NY 11530 | 2006-11-03 |
| 1477637924 | Amira Yasmin Waseem | Pediatrics | Building 19 West Road, Garden City, NY 11530 | 2006-10-24 |
| 1730278763 | Joseph R Accetta Jr. | Pediatrics | 50 New Hyde Park Rd, Garden City, NY 11530-3909 | 2006-10-11 |
| 1669566329 | Hye-yong Kang | Pediatrics | 1399 Franklin Ave. #303, Garden City, NY 11530-3447 | 2006-10-03 |
| 1891800439 | Jasilin Mathew | Pediatrics | 877 Stewart Ave Ste 33, Garden City, NY 11530-4803 | 2006-08-21 |
| 1588661755 | Anthony John Battista | Pediatrics | 1101 Stewart Ave, Suite 306, Garden City, NY 11530-4892 | 2005-07-04 |
| 1629072368 | Peter Michael O'keefe | Pediatrics | 1000 Franklin Ave, Suite 100, Garden City, NY 11530-2926 | 2005-06-10 |
| 1831193564 | Deborah Marciano | Pediatrics | 975 Franklin Avenue, Suite 101, Garden City, NY 11530 | 2005-06-10 |
| 1508869207 | Jeffrey Wayne Lieberman | Pediatrics | 1000 Franklin Ave Ste 100, Garden City, NY 11530-2910 | 2005-05-27 |
| 1881206407 | St. Catherine Hospital | Pediatrics | 311 E Spruce St, Garden City, KS 67846-5614 | 2020-08-17 |
| Find all providers in GARDEN CITY | ||||
| City | GARDEN CITY |
| Zip Code | 11530 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.